SI-MNH-2846 
6 - 23-67 
PMS LABORATORY FORM 
Species (ri 51CX _ _ Number ____U_l0_TQ 
Dates: processed 
Locality Ltl *U_VQ 
collected 1 A _lA A l(_ A X- 
Sex . . (dis secti on plumage soft parts \ 
Age 
T 
- s kull plumage soft parts \ 
Weight Fat Molt- 
Disposition: ( skin s kelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single J_LC __ Pool 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
Hi 1 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
